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ROSE M. IBRAHIM M.D. PC
NPI 1093747818
General Practice in Romulus, MI

Active since July 06, 2006
13739 S HURON RIVER DR, ROMULUS, MI 48174(734) 941-0895 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rose M. Ibrahim M.d. Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE M. IBRAHIM M.D. PC (NPI 1093747818) is a healthcare organization registered as a general practice in Romulus, Michigan and active in the NPI registry since July 2006. The organization lists Rose Ibrahim, President, as its authorized official.

NPPES Registry Identity

NPI1093747818
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameROSE M. IBRAHIM M.D. PC
Location Address13739 S HURON RIVER DRRomulus, MI 48174-3628
Mailing Address1598 Old Chatham DrBloomfield Hills, MI 48304-1040 · (734) 941-0895
Phone(734) 941-0895
Organization SubpartNo
Authorized OfficialRose IbrahimPresident · (734) 941-0895
Enumeration DateJuly 6, 2006
Last NPPES UpdateJanuary 11, 2008
✔ NPI 1093747818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301046478
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

13739 S HURON RIVER DR, Romulus, MI 48174
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Other Identifiers 3

Medicare UPINB46424MI
Medicare ID-Type Unspecified0829551MI
Medicaid1592176MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY SUPPORT PS INC
Clinic/Center (Adult Day Care)
13739 S HURON RIVER DR
ROMULUS, MI 48174
Wayne County (248) 561-4848
EXPRESS DOCS URGENT CARE PLLC
Clinic/Center (Urgent Care)
13739 S HURON RIVER DR
ROMULUS, MI 48174
Wayne County (734) 941-0895
ZEN PSYCHIATRY PROFESSIONAL CORPORATION
Psychiatry & Neurology (Psychiatry)
13739 S HURON RIVER DR
ROMULUS, MI 48174
Wayne County (734) 506-0652

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose M. Ibrahim M.D. PC's NPI number?

The NPI number for Rose M. Ibrahim M.D. PC is 1093747818. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Rose M. Ibrahim M.D. PC located?

Rose M. Ibrahim M.D. PC is located at 13739 S Huron River Dr, Romulus, MI 48174. The listed phone number is (734) 941-0895.

What is Rose M. Ibrahim M.D. PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Rose M. Ibrahim M.D. PC was last updated on January 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.